Effect evaluation of obstetric outpatient nursing intervention on pregnant women with abnormal glucosetolerance during pregnancy
对妊娠期糖耐量异常孕妇实施产科门诊护理干预的效果评价

摘要

目的 探讨将产科门诊护理干预手段运用妊娠期糖耐量异常孕妇护理中的效用价值。方法 此次研究共选取82例孕妇，经诊断均符合妊娠期糖尿量异常病症，根据护理模式的区别将其分为对照组与观察两个组别，均为41例患者，前者予以孕期常规护理，后者应用产科门诊护理干预手段，对两组实际应用效果展开对比。结果 经实验中相关数据表明，在干预后观察组餐后1h、2h血糖值除24周各时间段明显低于对照组，与此同时与对照组相比，孕36周、分娩时体重以及孕期增重值相对较低，GDM、HDCP、胎膜早破、早产等并发症以及不良分娩结局情况显著减少（P＜0.05）。而巨大儿、产后出血、宫内窘迫等情况无明显差异（P＞0.05）。结论 对于GIGT孕妇而言，实施产科门诊护理模式对其血糖水平及体重的改善即控制均起到积极促进作用，与此同时各并发症的发生情况以及不良分娩结局等大幅度降低。

Abstract

Objective To explore the utility value of obstetric outpatient nursing intervention in the nursing of pregnant women with abnormal glucose tolerance during pregnancy.
Methods: this study selected 82 cases of pregnant women, are certified in accordance with gestational diabetes abnormal condition, according to the difference of the nursing mode to the two groups were divided into control group and observation, are 41 patients, the former shall be routine care during pregnancy, the latter obstetric outpatient nursing interventions, to compare the application effect of two groups.
Results By the experiment data indicate that postprandial 2 h after the intervention group blood sugar levels in addition to checking the time significantly lower than the control group, at the same time compared with control group, 36 weeks of pregnancy, childbirth body quality and pregnancy weight gain value is relatively low, GDM, HDCP, premature rupture of membranes, preterm birth complications and adverse birth outcomes was significantly reduced (P < 0.05). There were no significant differences in macrosomia, postpartum hemorrhage and intrauterine distress (P > 0.05).
Conclusion  s For GIGT pregnant women, the implementation of obstetric outpatient nursing mode plays a positive role in the improvement and control of blood glucose level and body weight, and at the same time, the incidence of complications and adverse delivery outcomes are greatly reduced.